Nursing Intervention for Cerebrospinal Fluid (CSF) Otorrhea

  • Ensure that the patient actually has a CSF leak.

While some patients have clear fluid leaking from ear or nose that was not present preinjury, in others, it might           not be obvious.

  • Place the patient at bed rest with the head elevated to decrease intracranial pressure, thereby decreasing leakage.
  • Restrict nose blowing
  • Monitor vital signs
  • Watch out for fever and other signs of meningitis as ordered (i.e., diuretics such as, furosemide & hydrochlorothiazide, carbonic anhydrase inhibitors such as acetazolamide, and steroids)
  • Administer medication to decrease production of spinal fluid.
  • The neurosurgeon may need to place a lumbar drain so the leak can seal. Check with the neurosurgeon before placement of a nasogastric tube, as a frontal fracture through the cribiform plate can allow placement of the catheter into the brain.

Related Posts

Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>